Iris Prosthesis Procedures (0616T-0618T) (March 2021)

March 2021 page 7 Iris Prosthesis Procedures (0616T-0618T) For the Current Procedural Terminology (CPT®) 2021 code set, three new Category III codes (0616T-0618T) were added to report iris prosthesis insertion procedures. In addition, three parenthetical notes were added to guide users in appropriate reporting of these procedures in conjunction with other surgical services in the CPT code set. This article provides an overview of the intent and use of these new codes. Category III Codes  0616TInsertion of iris prosthesis, including suture fixation and repair or removal of iris, when performed; without removal of crystalline lens or intraocular lens...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains the scope and intent of newly added CPT Category III iris prosthesis procedure codes in the March 2021 CPT Assistant. It is relevant to ophthalmology coders, billing staff, and other professionals who need to understand where these codes fit within broader surgical reporting and which related ophthalmic code families are referenced in the guidance. The article also includes clinical scenarios and procedural overviews that illustrate the types of cases addressed by the new reporting guidance.

Why This Topic Matters

Accurate reporting of emerging ophthalmic procedures depends on understanding how new CPT Category III codes relate to existing surgical services and other procedures. This article helps readers identify the applicable code family and the broader reporting context for iris prosthesis insertion procedures.

Article Sections

  1. March 2021 page 7

    Introductory publication information for the article and its placement within the CPT Assistant issue.

  2. Category III Codes

    Overview of the newly added CPT Category III iris prosthesis procedure codes and the general context for their use. The section also introduces related reporting considerations involving other ophthalmic surgery services.

  3. Coding Tip

    Additional guidance on the relationship between the new iris prosthesis procedure codes and other iris-related ophthalmic procedures.

  4. Clinical Example (0616T)

    A representative clinical scenario and procedural overview associated with one of the new iris prosthesis procedure codes.

  5. Clinical Example (0617T)

    A representative clinical scenario and procedural overview associated with one of the new iris prosthesis procedure codes.

  6. Clinical Example (0618T)

    A representative clinical scenario and procedural overview associated with one of the new iris prosthesis procedure codes.

What You Will Learn

  • The overall purpose of the new iris prosthesis procedure codes
  • How the article frames the relationship between the new codes and other ophthalmic surgical services
  • The kinds of clinical scenarios the article uses to illustrate reporting context
  • Which broader ophthalmic code families are referenced in the guidance

Who Should Read This

  • CPT coders
  • ophthalmology billing staff
  • revenue integrity professionals
  • medical documentation specialists

Codes Discussed

Code Ranges Discussed


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